The BEST episodes of Couples Therapy (2019)

Every episode of Couples Therapy (2019) ever, ranked from best to worst by thousands of votes from fans of the show. The best episodes of Couples Therapy (2019)!

Couples Therapy unlocks a hidden world: other people's relationships. Far from reality-show caricatures, this is true documentary filmmaking that brings viewers into the authentic and visceral experience of weekly therapy with four couples. World-class therapist Dr. Orna Guralnik deftly guides the couples through the minefield of honest confrontation with each other and with themselves, revealing the real-life struggles - and extraordinary breakthroughs - typically hidden behind closed doors.

Last Updated: 7/1/2025Network: Paramount+ PremiumStatus: Continuing
star
8.71
7 votes

#1 - 415

Season 4 - Episode 15 - Aired 6/6/2025

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309
star
7.90
21 votes

#2 - 309

Season 3 - Episode 9 - Aired 6/10/2022

Ping and Will face the truths uncovered in their sessions. India and Dale share revealing insights about their work with Orna. Cyn and Yaya emerge from their recent setback with a new vitality. Josh confronts his fears about opening up and reaches a fresh understanding about his relationship with Molly.

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star
7.83
6 votes

#3 - 412

Season 4 - Episode 12 - Aired 5/23/2025

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409
star
7.83
12 votes

#4 - 409

Season 4 - Episode 9 - Aired 6/30/2024

Joey has an epiphany; Elíana reveals what's underneath her OCD; Orna talks to Josh, Aryn and Lorena about the struggles of polyamory; while traveling, Alexes uncovers new feelings about Casimar and his hopes for their future; all four couples learn to listen to their internal Orna voice.

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star
7.81
31 votes

#5 - 107

Season 1 - Episode 7 - Aired 10/18/2019

Annie questions what they're fighting to hold on to. Lauren and Sarah are devastated, and Sarah can't shake the feeling she's being punished. Orna feels pressure to do more. DeSean is furious and Orna presses Elaine to face her past.

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star
7.80
5 votes

#6 - 414

Season 4 - Episode 14 - Aired 5/30/2025

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star
7.80
5 votes

#7 - 418

Season 4 - Episode 18 - Aired 6/13/2025

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star
7.78
36 votes

#8 - 106

Season 1 - Episode 6 - Aired 10/11/2019

Elaine and DeSean argue about the impact of racism on their marriage. Orna feels frustrated by the lack of progress. Sarah's doubts scare Lauren. Evelyn and Alan make an excruciating decision about their marriage.

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star
7.73
22 votes

#9 - 209

Season 2 - Episode 9 - Aired 5/16/2021

Michael begins to shoulder the anxiety in his marriage. Matthew has one breakthrough at an AA meeting and another in bed. Dru’s gift to Tashira produces an overwhelming reaction. Orna wrestles with letting go.

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405
star
7.71
14 votes

#10 - 405

Season 4 - Episode 5 - Aired 6/16/2024

Casimar is frustrated by Alexes's lack of progress; Joey demands that Rex give up family traditions to be a good Christian; Josh reveals a past brush with the law that colors his relationships.

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star
7.67
6 votes

#11 - 413

Season 4 - Episode 13 - Aired 5/30/2025

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star
7.61
31 votes

#12 - 109

Season 1 - Episode 9 - Aired 11/1/2019

Lauren and Sarah make a choice about their future. Alan and Evelyn find a path forward. Elaine and DeSean feel a shift. Orna feels the weight of her work, and marvels at how bizarre her profession is.

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star
7.57
21 votes

#13 - 202

Season 2 - Episode 2 - Aired 4/18/2021

Michal and Michael strike a deal. Tensions around an upcoming trip reveal a deeper rift between Matthew and Gianni. Tashira admits to hidden resentments.

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408
star
7.55
11 votes

#14 - 408

Season 4 - Episode 8 - Aired 6/23/2024

Rex and Joey have a breakthrough while on vacation; Lorena struggles to be the main character in her own life; Alexes realizes why he attacks Casimar's family; Orna encourages Elíana and Mitch to stop posturing and be vulnerable.

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star
7.54
26 votes

#15 - 204

Season 2 - Episode 4 - Aired 4/25/2021

Michael and Michal dissect their toxic dynamic. After a fight, Dru learns how to be vulnerable. Back in Orna’s office, Gianni unpacks his resentments toward Matthew.

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407
star
7.54
13 votes

#16 - 407

Season 4 - Episode 7 - Aired 6/23/2024

Orna confronts Joey about shooting Rex down; Elíana invites Mitch to move in but resents his time with friends; Casimar and Alexes are forced to rent out their apartment, leading to a blow-up fight.

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star
7.52
25 votes

#17 - 205

Season 2 - Episode 5 - Aired 5/2/2021

Tashira evades Dru’s affection. Michal and Michael announce a life-changing surprise and Orna critiques Michal. Matthew digs into his traumatic childhood.

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303
star
7.52
25 votes

#18 - 303

Season 3 - Episode 3 - Aired 5/20/2022

Molly admits past betrayals that have pushed Josh away. Orna explores Yaya’s lack of response to Cyn’s provocations. Dale traces his discomfort with conflict to his father. Orna leads Ping and Will out of a stalemate.

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star
7.50
46 votes

#19 - 103

Season 1 - Episode 3 - Aired 9/20/2019

A recent fight between Lauren and Sarah reveals underlying power dynamics. Orna pushes Mau and struggles with her inability to break through. DeSean is sick of failing to make Elaine happy.

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406
star
7.50
12 votes

#20 - 406

Season 4 - Episode 6 - Aired 6/16/2024

Rex reveals his past as a sexual bad boy; when Alexes began pulling away, Casimar turned to infidelity; Elíana's past makes her weird about sex today; Aryn has conflicted feelings about Josh's strong attachment to Lorena.

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star
7.50
8 votes

#21 - 411

Season 4 - Episode 11 - Aired 5/23/2025

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star
7.48
29 votes

#22 - 201

Season 2 - Episode 1 - Aired 4/18/2021

Dr. Orna Guralnik guides a new group of couples: Michal is furious at her husband for not delivering the life she wants; Tashira resents Dru for insisting they live together; and Gianni and Matthew reel from Matthew’s battle with alcoholism.

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313
star
7.47
19 votes

#23 - 313

Season 3 - Episode 13 - Aired 5/5/2023

Natasha reveals her deepest fears; Kristi sheds light on Brock's betrayal; Orna reaches her limit with Sean's gaslighting.

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star
7.46
41 votes

#24 - 104

Season 1 - Episode 4 - Aired 9/27/2019

Alan reveals the impact of his father's infidelity. Sarah wants Lauren to initiate sex. Mau's traumatic past casts a long shadow.

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401
star
7.44
18 votes

#25 - 401

Season 4 - Episode 1 - Aired 6/2/2024

Josh, Arynand Lorena unpack their polyamorous past and Lorena's fear of planning; Joey kicks her mother out but wonders if mom's dislike of Rex was right; Elíana wants Mitch to move back in now that they have a child; Casimar is desperate to end the explosive fighting with Alexes.

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